Individual provider Active NPI

Nicholas Anthony Angelo, LMFT 144221

  • Mental Health Counselor
  • Paso Robles, CA
National Provider Identifier
1376106450
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
144221 Issued in CA
Practice address
2879 Mammoth LN
Paso Robles, CA 93446-4101
Phone
(760) 809-7168
NPI assigned
Apr 15, 2019
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 144221 CA Primary

Addresses

Primary practice location

2879 Mammoth LN
Paso Robles, CA 93446-4101

Mailing address

2033 San Elijo Ave # 302
Cardiff, CA 92007-1726
Phone (442) 354-4695

Other practice location 1

743 Nardo Rd
Encinitas, CA 92024-3828
Phone (760) 809-7168

Other practice location 2

2777 Jefferson St Ste 203
Carlsbad, CA 92008-1743
Phone (442) 354-4695

Other practice location 3

315 N Clementine St
Oceanside, CA 92054-2806
Phone (442) 354-4695

Other names 1

  • Nicholas Angelo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1376106450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 SAN ELIJO AVE # 302",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920071726",
            "telephone_number": "442-354-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2879 MAMMOTH LN",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464101",
            "telephone_number": "760-809-7168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Nardo Rd",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920243828",
            "country_code": "US",
            "telephone_number": "760-809-7168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2777 Jefferson St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920081743",
            "country_code": "US",
            "telephone_number": "442-354-4695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 N Clementine St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920542806",
            "country_code": "US",
            "telephone_number": "442-354-4695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELO",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "credential": "LMFT 144221",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "144221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "ANGELO",
            "credential": "LMFT 144221",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.